Gsologo

 

Facebook Okc Logo Twitter _okc _logo

Good Samaritan Health Clinic of Edmond Inc.
1919 E. Memorial Rd.
Oklahoma City OK 73131
Download Full Profile
Download Summary Profile
Tax Exempt Status Public Supported Charity
Organization Does Business As (DBA) Name(s)
Organization DBA
Good Samaritan Health Clinic of Edmond
Mission Statement Good Samaritan Health Clinic of Edmond continues the healing ministry of Jesus Christ for those with no health insurance within the Edmond community by promoting wellness and providing physical, emotional and spiritual care with dignity.
Website http://goodsamaritanofedmond.com/
Contact Information
Contact Name Lee Hunt
Contact email admin@goodsamaritanofedmond.com
Address 1919 E. Memorial Rd.
Oklahoma City, OK 73131
Phone (405) 348-9461
Fax 405-708-5277
County Oklahoma County
Alternate Address Business
9 NW 160th Street
Edmond OK 73013 2041
How to Give
Donate with Credit Card http://goodsamaritanofedmond.com/donation/donation.html
Other ways to donate, support or volunteer
Donations

A donation by check can be mailed to:
Lee Hunt, Executive Director
Good Samaritan Health Clinic of Edmond, Inc.
9 NW 160th Street
Edmond, OK 73013-2041
 
 The Clinic is a tax-exempt 501(c)(3) corporation run mostly by volunteers to provide free health care. Expenses include medical, pharmaceutical and office supplies, Clinic Coordinator and insurance. Expenses for the 2011-2012 fiscal year were $22,531.

The Clinic’s sources of income are donations and grants from individuals, organizations and foundations.
 
Volunteer Opportunities

Physicians, physician assistants, nurse practitioners are needed in the fields of family and internal medicine. Receptionists and translators and medical instructors are also needed.

Volunteers help for three hours on Saturdays from about 8:45 a.m. to 11:45 a.m. 
Financial Summary
 
 
Projected Revenue $21,619.00
Projected Expenses $21,130.00
History and Background
Former Names
NameYear
NA
Supported Organization Good Samaritan Health Clinic of Edmond, Inc.
Year Founded 2009
IRS Ruling Year 2009
Registered with the Secretary of State?HelpAll 501(c)(3) nonprofits in Oklahoma who accept contributions must register with the Secretary of State each year. Churches, schools, member-based orgs are exempt. www.sos.ok.gov/charity Yes
State Registration Expiration Mar 2015
Statements
Mission Good Samaritan Health Clinic of Edmond continues the healing ministry of Jesus Christ for those with no health insurance within the Edmond community by promoting wellness and providing physical, emotional and spiritual care with dignity.
Background Leaders of St. Monica Catholic Church became aware of parishioners requiring health care they could not afford. After researching the needs of the community were assessed, a plan was formulated and Good Samaritan Health Clinic was established in 2009 as a 501c3 corporation. The first patients were seen on Feb. 14, 2009. The clinic facilitates more than 700 patient visits per year.
Impact We see 9-20 patients per Saturday.
Needs Physicians, physician assistants, nurse practitioners are needed in the fields of family and internal medicine. Receptionists and translators are also needed.

Volunteers help for three hours on Saturdays from about 8:45 a.m. to 11:45 a.m.

The clinic consists of a dynamic group of people. Simply match your personal schedule with the clinic's schedule. Most individuals volunteer at least once every month or two.
CEO/Executive Director Statement We envision a future when:
  •     The clinic will be open more frequently
  •     Medications will be available at no or minimal cost
  •     Dental services will be provided
  •     GSHCE will occupy its own facility
  •     We can expand our participation and leadership with the Health Alliance for the Uninsured (HAU) and Empowering Church Heathcare Outreach (ECHO).
 
By achieving these goals, GSHCE will be more fully able to provide a wider range of services and provide the needed care to a growing population of people in need in the Edmond community.
 
Area Served
Area Served
Geographic Area Served
Edmond
Oklahoma County
Logan County
Edmond and nearby communities.
Service Categories
Primary Organizational CategoryHelpAs defined by the National Center for Charitable Statistics, organizational categories are linked to the National Taxonomy of Exempt Entities (NTEE) coding system. (http://nccsdataweb.urban.org) Health Care/Community Clinics
Secondary Organizational Category Health Care/Ambulatory & Primary Health Care
Tertiary Organizational Category Health Care/
Programs
Good Samaritan Health Clinic of Edmond
Description We are a health clinic providing services to the uninsured in the Edmond community at no charge and with physical, emotional and spiritual dignity.
BudgetHelpSome organizations have unified budgeting and do not budget by program. Because of this, some budget fields may be blank or represent an approximation.
Category HelpAs defined by the National Center for Charitable Statistics (NCCS), program classification codes are linked to the Nonprofit Program Classification (NPC) coding system. (http://nccsdataweb.urban.org) Health Care, General/Other Health Diagnostic, Intervention & Treatment Services
Strategy
Population Served Adults Elderly and/or Disabled Families
Program Short-term SuccessHelpDescription of short-term achievement(s) or improvement(s) that will result from this program.
Program Long-term SuccessHelpDescription of the ultimate change(s) that will result from this program. This may be far into the future or represent an ideal state.
Program Success MonitoringHelpDescription of the tools used to measure or track program impact.
Examples of Program SuccessHelpSpecific examples of changes in behaviors or testimonies of changes that demonstrate program success.
Disaster Programs
VOAD MemberHelpVOAD (Voluntary Organizations Active in Disaster) is a collaborative group of nonprofit and affiliated organizations that work together to effectively plan for and respond to disasters in a given region. No
CEO/Executive Director
CEO/Executive Director
Start Date Feb 0
Email
Staff
Number of Full-time Staff 0
Number of Part-time Staff 1
Number of Contract Staff 0
Number of Volunteers 40
Staff Retention Rate 100
Are professional development opportunities provided? Yes
Does CEO/Executive Director have formal evaluations? Yes
Management reports to board? Yes
Staff Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 1
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Staff Demographics - Gender
Male 1
Female 1
Not Specified 0
Organizational Plans
Fundraising Plan No
Policy against commission-based compensation for fundraising consultant No
Communication Plan No
Strategic Plan Under Development
Number of Years Strategic Plan Considers 3
Management Succession Plan Yes
Organization Policies and Procedures Yes
Policies
Nondiscrimination Policy No
Whistle Blower PolicyHelpThe Sarbanes-Oxley Act provides certain protections for whistle blowers and criminal penalties for actions taken in retaliation against them. www.independentsector.org/sarbanes_oxley No
Document Destruction PolicyHelpThe Sarbanes-Oxley Act addresses the destruction of business records & documents & specifies that international document destruction should be carefully monitored. No
Directors and Officers Insurance Policy Yes
Collaborations
We collaborate with the Health Alliance of the Uninsured and with Mercy.
Government Licenses
Is your organization licensed by the government (federal, state and/or local)? No
Comments on Staff & Management
Foundation Staff Comments A Document Destruction Policy will be adopted by the board at its January 2014 meeting.
Board Chair
Name Dr. Greg Greenlee D.Ph.
Company Affiliation Pharmacist
Term July 2013 to June 2014
Email gdgreenlee@sbcglobal.net
Board of Directors
List Current as of Dec 07, 2013
Board of Directors List
NameAffiliationStatus
Phyllis Barber A.N.P.Voting
Jim Dixon M.D., Medical DirectorVoting
Sheila Fraguela Voting
Greg Greenlee D.Ph., PresidentVoting
Allen Haag B.B.A.Voting
Jerry Krittenbrink TreasurerVoting
Jesús Medina M.D.Voting
Otto Nieman M.A., Vice PresidentVoting
Carolyn Smith R.N., M.P.H.Voting
Karen Vesier M.S.Voting
Russ Wheeler J.D., SecretaryVoting
Steve Yandell D.C.Voting
Board Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 11
Hispanic/Latino 1
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 8
Female 4
Not specified 0
Governance
Board Term Lengths 3 years
Board Term LimitsHelpThe Standards for Excellence Institute recommends that board policies should include limits on the number of consecutive terms a board member may serve. www.standardsforexcellenceinstitute.org 2 terms
Number of Full Board Meetings AnnuallyHelpThe Standards for Excellence Institute recommends a minimum of four meetings per year of the full board. www.standardsforexcellenceinstitute.org 12
Board Meeting Attendance %HelpThe Better Business Bureau's Standards for Charity Accountability recommends at least 65% board attendance. (http://us.bbb.org) 83 %
Percentage of Board Making Monetary Contributions to the Organization 1 %
Percentage of Board Making In-Kind Contributions to the Organization 5 %
Board Orientation Yes
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy?HelpThe Standards for Excellence Institute recommends that nonprofits should have a written conflict of interest policy applicable to board members, staff and volunteers. Yes
Standing Committees
By-laws
Executive
Finance
Nominating
 HelpFinancial figures are entered by community foundation staff who review the organization's audit and IRS Form 990. Reference the comments on financials at the bottom of the page for source of financial figures.
 
Current Fiscal Year
Fiscal Year July 01, 2014-June 30, 2015
Current Year Budgeted Total Income $21,619
Current Year Budgeted Total Expenses $21,130
Financial Documents
Form 990N2012
Form 990N2011
Form 990N2010
IRS Letter of Determination
IRS Determination Letter
Prior Three Years' Financial History
Revenue and ExpensesHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201320122011
Total Revenue$25,016$33,145$10,166
Total Expenses$18,932$22,531$17,688
Revenue Less Expenses$6,084$10,614($7,522)
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201320122011
Contributions------
Foundation and
Corporation Contributions		$17,455$31,449$9,100
Government Contributions$0$0$0
Federal------
State------
Local------
Unspecified------
Individual Contributions$7,505$1,625$995

Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.

------

Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.

------
Investment Income, Net of Losses$56$71$71
Membership Dues------
Special Events------
Revenue In-Kind------
Other------
Expense Allocation
Fiscal Year201320122011
Program Expense$18,932$22,531$17,688
Administration Expense------
Fundraising Expense------
Payments to Affiliates------
Total Revenue/Total Expenses1.321.470.57
Program Expense/Total Expenses100%100%100%
Fundraising Expense/Contributed Revenue0%0%0%
Assets and Liabilities
Fiscal Year201320122011
Total Assets$52,894$46,757$31,101
Current Assets$51,098$44,960$31,101
Long-Term Liabilities------
Current Liabilities$757$697--
Total Net Assets$52,137$46,060$31,101
Solvency
Short Term Solvency
Fiscal Year201320122011
Current Ratio: Current Assets/Current Liabilities67.5064.51--
Long Term Solvency
Fiscal Year201320122011
Long-Term Liabilities/Total Assets0%0%0%
Funding Sources
Top Funding Sources
Fiscal Year201320122011
Top Funding Source & Dollar AmountFoundations & Corporations $17,455Foundations & Corporations $31,449Foundations & Corporations $9,100
Second Highest Funding Source & Dollar AmountIndividuals $7,505Individuals $1,625Individuals $995
Third Highest Funding Source & Dollar AmountInvestment Income $56Investment Income $71Investment Income $71
Endowment? No
Endowment Spending Policy Income Only
Credit Line? No
Reserve Fund? No
Tax Credits?HelpTax credits are a dollar-for-dollar reduction of tax owed offered by the state and/or federal government. No
Capital Campaign
Currently in a Capital Campaign? No
Comments on Financials
Foundation Staff Comments
All prior year financial information is from compiled financial statements provided by the organization.
Address 1919 E. Memorial Rd.
Oklahoma City, OK 73131
Primary Phone 405 348-9461
Contact Email admin@goodsamaritanofedmond.com
Website http://goodsamaritanofedmond.com/
Give with Credit Card http://goodsamaritanofedmond.com/donation/donation.html
Board Chair Dr. Greg Greenlee
Board Chair Company Affiliation Pharmacist

 

Powered by GuideStar

Copyright © 2014 Oklahoma City Community Foundation

1000 N. Broadway Ave., Oklahoma City, OK 73102

405-235-5603

Contact GiveSmartOKC Terms & Conditions Privacy Policy

Occffooter